Group Agreement Sample Contracts

GROUP AGREEMENT COVER SHEET
Group Agreement • May 5th, 2020
GROUP AGREEMENT
Group Agreement • March 20th, 2023
YOUR GROUP AGREEMENT
Group Agreement • March 4th, 2021

This Group Agreement (Agreement), including the Group Agreement Face Sheet, sometimes referred to as “Face Sheet,” Group Application and Evidence of Coverage (EOC), all of which are incorporated herein by reference, constitutes the contract between the Group and Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. (Health Plan).

YOUR GROUP AGREEMENT‌‌
Group Agreement • August 5th, 2021

This Group Agreement (Agreement), including the Group Agreement Face Sheet, sometimes referred to as “Face Sheet,” Group Application and Evidence of Coverage (EOC), all of which are incorporated herein by reference, constitutes the contract between the Group and Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. (Health Plan).

GROUP AGREEMENT
Group Agreement • May 10th, 2024

Enclosed is the Traditional Dental Plan Group Agreement effective 4/1/2024 through 3/31/2025 for Willamette University. The Group Agreement includes group contract provisions, such as monthly Premium amounts, and incorporates the Evidence of Coverage (EOC), which is the member portion of the contract. The EOC explains benefits and cost share amounts, limitations, exclusions, and other information to help the member understand their plan.

GROUP AGREEMENT
Group Agreement • August 24th, 2020

Enclosed is the Dental Plan Group Agreement effective 8/1/2020 through 7/31/2021 for City of Oregon City. The Group Agreement includes group contract provisions, such as monthly Premium amounts, and incorporates the Evidence of Coverage (EOC) which is the member portion of the contract. The EOC contains benefit descriptions and cost sharing amounts, limitations, exclusions, and information to assist the member in obtaining care.

GROUP AGREEMENT
Group Agreement • April 1st, 2014

This is a summary of changes and clarifications that we have made to your Group Agreement. The Group Agreement includes the Evidence of Coverage (EOC), “Benefit Summary,” riders, and any applicable endorsement documents. This summary does not include minor changes and clarifications we are making to improve the readability and accuracy of the Group Agreement and any changes we have made at your Group’s request. These changes and clarifications do not include changes that may occur throughout the remainder of the year as a result of federal or state mandates. Other Group-specific or product-specific plan design changes may apply, such as moving to standard benefits. Refer to the benefits shown on the rate and benefit summary pages in the Group’s renewal packet for information about these types of changes.

SHARP HEALTH PLAN GROUP AGREEMENT
Group Agreement • October 31st, 2024 • California
GROUP AGREEMENT
Group Agreement • March 31st, 2023

Only the French version of this collective agreement is considered to be the official text. However, the collective agreement is translated into English.

GROUP AGREEMENT
Group Agreement • April 5th, 2023 • Gold Lewis • Services-offices & clinics of doctors of medicine

WHEREAS, certain of the undersigned are stockholders, direct or beneficial, of Cano Health, Inc., a Delaware corporation (the “Company”);

GROUP AGREEMENT
Group Agreement • December 29th, 2022 • Radoff Bradley Louis • Patent owners & lessors

This Agreement (this “Agreement”) is made and entered into as of December 29, 2022 (the “Effective Date”), by and among (i) The Radoff Family Foundation and Bradley L. Radoff (collectively, “Radoff”) and (ii) JEC II Associates, LLC and Michael Torok (collectively, “JEC” and together with Radoff, each a “Party”, and collectively, the “Parties” or the “Group”).

AMNH Sleepover Program Group Agreement amnh.org/sleepovers
Group Agreement • August 6th, 2021

The group leader must read, initial (where appropriate), and sign this Group Agreement before returning it to the Central Reservations department at the American Museum of Natural History. Without this completed form, your reservation is subject to cancellation. The minimum number of people to qualify for group rates and terms is

GROUP AGREEMENT
Group Agreement • November 27th, 2020 • 180 Degree Capital Corp. /Ny/ • Investors, nec • New York

WHEREAS, 180 Degree Capital Corp., a New York corporation (“180 Degree Capital”), B. Riley Financial, Inc. and certain of its affiliated entities (collectively, “B. Riley”, and together with 180 Degree Capital, the “Group”) wish to form a group for the purpose of seeking to remove members of the Board of Directors of the Company (the “Board”) by written consent of stockholder of the Company in lieu of a meeting of stockholders, and for the purpose of taking all other action necessary or advisable to achieve the foregoing.

GROUP AGREEMENT DATED 3 July 2007,
Group Agreement • February 5th, 2021

SUEZ S.A., whose registered office is located at 16, rue de la Ville l'Evêque, Paris (75008), and its subsidiary companies meeting the conditions defined in Clause 2-1 of the Agreement, jointly represented by Mr. Gérard Mestrallet in his capacity as Chief Executive Officer of Suez S.A.,

GROUP AGREEMENT
Group Agreement • May 8th, 2015

INTRODUCTION: This Group Agreement consisting of the Group Agreement and Group Evidence of Coverage as supplemented by this Face Sheet, has been entered into between Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., (hereinafter “Health Plan”), and the organization (hereinafter “Group.”)

Group Agreement
Group Agreement • August 25th, 2023
Group Agreement
Group Agreement • February 15th, 2018

THE ALLIANCE NATIONALE DES ASSOCIATIONS DÉMOCRATIQUES DES RESSOURCES À L’ADULTE DU QUÉBEC (ADRAQ CSD) IN ITS CAPACITY AS A GROUPING OF ADULT RESOURCES ASSOCIATIONS, ACTING ON BEHALF OF AND AFFILIATED WITH THE CENTRALE DES SYNDICATS DÉMOCRATIQUES (CSD)

Group Agreement Form
Group Agreement • December 1st, 2002 • New York

terms and provisions of this Group Agreement Form, Atlantis Health Plan, Inc. ("Atlantis") shall hereby arrange or pay for medical and hospital services in accordance with the terms and provisions of the Subscriber Contract for Subscribers and their Covered Dependents ("Members"). Terms not defined herein shall have the meaning set forth in the Subscriber Contract.

Initial Group Agreement
Group Agreement • December 18th, 2012
AGREEMENT
Group Agreement • July 1st, 2011 • Ruby Tuesday Inc • Retail-eating places • Georgia

This Agreement, dated as of June 30, 2011, is by and among Ruby Tuesday, Inc., a Georgia corporation (the “Company”), and Steven R. Becker, an individual resident of Texas (“Becker”), Matthew A. Drapkin, an individual resident of New York (“Drapkin”), Becker Drapkin Partners (QP), L.P., a Texas limited partnership, Becker Drapkin Partners, L.P., a Texas limited partnership, BD Partners III, L.P., a Texas limited partnership, Becker Drapkin Management, L.P., a Texas limited partnership, and BC Advisors, LLC, a Texas limited liability company (collectively with Becker and Drapkin, the “Shareholder Group”).

GROUP AGREEMENT
Group Agreement • January 27th, 2014

Enclosed is the Senior Advantage with Part D Plan Group Agreement effective January 1, 2013 through December 31, 2013 for City of Vancouver. There are two documents which serve as the entire contract. The Wrap (titled “Group Agreement”) contains the group contract provisions, including rates. The Evidence of Coverage (EOC) is the member portion of the contract. The EOC contains benefit descriptions, limitations, exclusions, and instructions which assist the member in obtaining care. Wraps and EOCs are subgroup specific and it is possible to have multiple Wraps associated with the same EOC. Please review the list of contract changes including those things that may have been updated since the renewal notice was released.

GROUP AGREEMENT
Group Agreement • February 17th, 2021 • Oak Investment Partners XI L P • Services-computer processing & data preparation

WHEREAS, VIEX Opportunities Fund, LP - Series One, VIEX Opportunities Fund, LP - Series Two, VIEX GP, LLC, VIEX Capital Advisors, LLC and Eric Singer (collectively, "VIEX"); Osmium Partners, LLC, Osmium Capital, LP, Osmium Capital II, LP, Osmium Spartan, LP, Osmium Diamond, LP and John H. Lewis (collectively, "Osmium"); and Oak Investment Partners XI, Limited Partnership, Oak Associates XI, LLC, Oak Investment Partners XII, Limited Partnership, Oak Associates XII, LLC, Oak Management Corporation, Bandel L. Carano, Edward F. Glassmeyer, Fredric W. Harman, Ann H. Lamont and Grace A. Ames (collectively, "Oak" and, together with VIEX and Osmium, the "Group") wish to form the Group for the purpose of working together to enhance stockholder value at the Company, including seeking representation on the Board of Directors of the Company (the "Board") at the 2021 annual meeting of stockholders of the Company (including any other meeting of stockholders held in lieu thereof, and any adjournments

GROUP AGREEMENT
Group Agreement • October 16th, 2023 • JCP Investment Management, LLC • Miscellaneous food preparations & kindred products

This Group Agreement (this “Agreement”) is made and entered into as of October 12, 2023 by and among (i) JCP Investment Partnership, LP, JCP Investment Partners, LP, JCP Investment Holdings, LLC, JCP Investment Management, LLC and James C. Pappas (collectively, “JCP”), (ii) 22NW Fund, LP, 22NW, LP, 22NW Fund GP, LLC, 22NW GP, Inc. and Aron R. English (collectively, “22NW”), (iii) Bryson O. Hirai-Hadley (together with 22NW, the “22NW Parties”) and (iv) Troy Ellis, Emily Keeton and David Tresko (together with JCP, the 22NW Parties, Troy Ellis and Emily Keeton, each a “Party” and collectively, the “Parties” or the “Group”).

GROUP AGREEMENT
Group Agreement • October 7th, 2022 • 22NW Fund, LP • Miscellaneous food preparations & kindred products • New York

WHEREAS, certain of the undersigned are stockholders, direct or beneficial, of Farmer Bros. Co., a Delaware corporation (the “Company”);

AGREEMENT
Group Agreement • May 23rd, 2014 • Cannell J Carlo • Services-prepackaged software

WHEREAS, certain of the undersigned are stockholders or potential board nominees or potential stockholders of TeleCommunication Systems, Inc. (the “Company”);

GROUP AGREEMENT
Group Agreement • February 26th, 2020

Choosing a health plan for your group is an important decision. Thank you for selecting Kaiser Permanente for your employees’ health care needs.

YOUR GROUP AGREEMENT
Group Agreement • October 21st, 2015

Termination for Non-Payment of Premium 2 Termination for Fraud, Intentionally Furnishing Incorrect or Incomplete Information, Violation of Contribution or Participation Requirements 2 Termination for Movement Outside of the Service Area 3 Discontinuance of Product or All Products within a Market 3

GROUP AGREEMENT WASHINGTON
Group Agreement • April 9th, 2014 • Washington
GROUP AGREEMENT COVER SHEET
Group Agreement • April 1st, 2013
YOUR GROUP AGREEMENT
Group Agreement • July 5th, 2024

INTRODUCTION: This Group Agreement consisting of the Group Agreement and Group Evidence of Coverage as supplemented by this Face Sheet, has been entered into between Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., (hereinafter “Health Plan”), and the organization (hereinafter “Group.”)

GROUP AGREEMENT
Group Agreement • March 4th, 2025 • Radoff Bradley Louis • Pharmaceutical preparations

This Agreement (this “Agreement”) is made and entered into as of March 4, 2025 (the “Effective Date”) by and among (i) The Radoff Family Foundation and Bradley L. Radoff (collectively, “Radoff”) and (ii) JEC II Associates, LLC, The MOS Trust, MOS PTC, LLC and Michael Torok (collectively, “JEC” and together with Radoff, each a “Party” and collectively, the “Parties” or the “Group”).

SHARP HEALTH PLAN GROUP AGREEMENT
Group Agreement • February 23rd, 2022

accordance with prevailing medical standards. Certain Members may, for personal reasons, refuse to accept procedures or treatments recommended by Plan Physicians. Plan Physicians may regard such refusal as incompatible with the continuance of a satisfactory physician-patient relationship and as obstructing the providing of proper medical care. If a Member refuses to follow a recommended treatment(s) or procedure(s), and the Plan Physician believes that no professionally acceptable alternative exists, the Member will be so advised. The Member may then contact Plan to obtain assistance in either: (a) choosing a new Primary Care Physician; or (b) seeking a referral to a specialty Plan Physician, as appropriate. If, after consulting with such other Plan Physician, the Member still refuses to follow a recommended treatment(s) or procedure(s), then the Member may contact Plan for a determination as to whether any Medically Necessary, medically superior (as determined by Plan), covered altern

ETSCH FARMS
Group Agreement • April 24th, 2018
GROUP AGREEMENT This Agreement (this "Agreement") is made and entered into as of January 9, 2025, by and among Beaver Hollow Wellness, LLC, Founders Software, Inc., Paul L. Snyder, III (collectively, "Beaver Hollow"), Kathleen Scheffer (the "Record...
Group Agreement • January 13th, 2025 • Beaver Hollow Wellness, LLC • Cutlery, handtools & general hardware

GROUP AGREEMENT This Agreement (this "Agreement") is made and entered into as of January 9, 2025, by and among Beaver Hollow Wellness, LLC, Founders Software, Inc., Paul L. Snyder, III (collectively, "Beaver Hollow"), Kathleen Scheffer (the "Record Holder"), Para Bellum Consulting, Inc. ("Para Bellum"), Christine R. Marlow, Michael W. Dolpp and Charles C. Alfiero (each a "Nominee," and collectively, the "Nominees" and together with Beaver Hollow, Para Bellum and the Record Holder, each a "Party", and collectively, the "Parties" or the "Group"). WHEREAS, certain of the undersigned are stockholders, direct or beneficial, of Servotronics, Inc. a Delaware corporation (the "Company"); WHEREAS, the Parties desire to form the Group for the purpose of working together to enhance stockholder value at the Company, including seeking representation on the Board of Directors of the Company (the "Board") at the 2025 annual meeting of stockholders of the Company (including any other meeting of stockh